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Aesthetic Plastic Surgery

Published in:

01-02-2019 | Original Article

Secondary Breast Augmentation: Is There a Trend for Bigger Implants?

Authors: Paolo Montemurro, Sebastian Fischer, Stephan Hager, Per Hedén

Published in: Aesthetic Plastic Surgery | Issue 1/2019

Abstract

Background

Despite novel assessment tools and 3D simulation, patient’s desire for implant size change is one of the most common reasons for revision surgery after primary breast augmentation. In this study, we analysed outcomes and predictive indicators for revision surgeries in a cohort of patients operated on by a single surgeon.

Patients and Methods

All consecutive patients who underwent revision augmentation surgery between 2013 and 2017 by the first author were included in this study. Besides review of medical records, subgroups based on the indication for revision surgery were compared and statistically analysed.

Results

A total of 110 patients were included in this study. Revision surgery was performed 97.2 months on average after primary augmentation. Eighty-six per cent of patients received larger implants. Indications for revision surgery and associated subgroups were: (1) wish for bigger implants (38%), (2) complication + wish for bigger implants (26%), (3) complication (29%), (4) complication + wish for smaller implants (3%) and (5) wish for smaller implants (3%). Subgroup analysis showed that patients who underwent revision surgery for bigger implants were significantly younger compared to patients who suffered a complication or desired smaller implants. Time to secondary augmentation was significantly shorter in case of wish for size change compared to complications as reason for revision surgery. Implant sizes differed significantly in patients where volume change was the sole indication for surgery compared to revisions performed due to complications.

Conclusion

In our cohort of patients, almost all patients who underwent revision surgery after primary breast augmentation received bigger implants. Patients who specifically wished for size change were younger, asked for surgery earlier and received larger volumes compared to patients who underwent revision surgery for other reasons.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

American Society of Plastic Surgeons (2017) Complete plastic surgeons statistics report

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Title: Secondary Breast Augmentation: Is There a Trend for Bigger Implants?
Authors: Paolo Montemurro
Sebastian Fischer
Stephan Hager
Per Hedén
Publication date: 01-02-2019
Publisher: Springer US
Published in: Aesthetic Plastic Surgery / Issue 1/2019
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-018-1244-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Secondary Breast Augmentation: Is There a Trend for Bigger Implants?

Abstract

Background

Patients and Methods

Results

Conclusion

Level of Evidence IV

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Patients and Methods

Results

Conclusion

Level of Evidence IV

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